<?xml version="1.0" encoding="utf-8"?>

<div xmlns="http://www.w3.org/1999/xhtml" component="$UI/system/components/justep/window/window" design="device:mobile"
  xid="window">  
  <div component="$UI/system/components/justep/model/model" xid="model" onLoad="modelLoad" style="height:auto;left:243px;top:-4px;"> 
    <div component="$UI/system/components/justep/data/data" autoLoad="true"
      xid="data" idColumn="id"> 
      <column label="id" name="id" type="String" xid="default1"/>  
      <column label="content" name="content" type="String" xid="default2"/>  
      <column label="title" name="title" type="String" xid="default4"/>  
      <column label="wDate" name="wDate" type="String" xid="default5"/> 
    </div> 
  </div>  
  <span component="$UI/system/components/justep/windowDialog/windowDialog" xid="windowDialog1"/>  
  <span component="$UI/system/components/justep/windowReceiver/windowReceiver"
    xid="windowReceiver1" style="left:52px;top:25px;"/>  
  <div component="$UI/system/components/justep/panel/panel" class="x-panel x-full"> 
    <div class="x-panel-top"> 
      <div component="$UI/system/components/justep/titleBar/titleBar" class="x-titlebar"> 
        <div class="x-titlebar-left x-titlebar-title"> 
          <a component="$UI/system/components/justep/button/button" label=""
            class="btn btn-link btn-only-icon" icon="icon-chevron-left" xid="backBtn" onClick="backBtnClick"> 
            <i class="icon-chevron-left"/> 报修填报
          </a> 
        </div> 
      </div> 
    </div>  
    <div class="x-panel-content"> 
      <form style="margin-top:20px;padding:0 10px 0 10px;"> 
        <div class="form-group"> 
              <label>房号</label>  
              <input type="text" class="form-control" id="number" placeholder="请输入房号"/> 
        </div>  
        <div class="form-group"> 
          <label>联系电话</label>  
          <input type="text" class="form-control" id="phone" placeholder="请输入联系电话"/> 
        </div>  
        <div class="form-group"> 
          <label>预约时间</label>  
          <input type="date" class="form-control" id="startime" placeholder="请选择预约时间"/> 
        </div>  
        <div class="form-group"> 
          <label>维修内容</label>  
          <textarea component="$UI/system/components/justep/textarea/textarea" class="form-control"
            xid="content"/> 
        </div>  
        <div class="form-group"> 
          <label>维修材料</label>  
          <select component="$UI/system/components/justep/select/select" class="form-control"
            xid="select1"> 
            <option>材料1</option>  
            <option>材料2</option> 
          </select> 
        </div>  
        <div class="form-group"> 
          <div component="$UI/system/components/justep/row/row" class="x-row"
            xid="row2" style="padding:0 0 0 0;"> 
            <div class="col-xs-6" style="padding:0 10px 0 0;"> 
              <label>开工时间</label>  
              <input type="date" class="form-control" id="startime" placeholder="请选择开工时间"/> 
            </div>  
            <div class="col-xs-6" style="padding:0 10px 0 0;"> 
              <label>完工时间</label>  
              <input type="date" class="form-control" id="endtime" placeholder="请选择完工时间"/> 
            </div> 
          </div> 
        </div>  
        <div class="form-group"> 
          <a component="$UI/system/components/justep/button/button" class="btn btn-default"
            label=" 提交" xid="button1" style="width:100%;" icon="icon-android-checkmark"> 
            <i xid="i1" class="icon-android-checkmark"/>  
            <span xid="span1">提交</span> 
          </a> 
        </div> 
      </form> 
    </div> 
  </div> 
</div>
